Healthcare Provider Details

I. General information

NPI: 1245091776
Provider Name (Legal Business Name): MEGAN BRYANT COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16744 SAINT CLAIR AVE
EAST LIVERPOOL OH
43920-9470
US

IV. Provider business mailing address

16744 SAINT CLAIR AVE
EAST LIVERPOOL OH
43920-9470
US

V. Phone/Fax

Practice location:
  • Phone: 234-517-4188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: